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Kathleen Marie Fennelly, RN,NP,
Obstetrics & Gynecology Nurse Practitioner in San Luis Obispo, California
NPI 1649262429

Kathleen Marie Fennelly is a Obstetrics & Gynecology Nurse Practitioner based in San Luis Obispo, CA and is specialized in Obstetrics & Gynecology. Kathleen Marie Fennelly practices in San Luis Obispo, CA and has the professional credentials of RN,NP,. The NPI Number for Kathleen Marie Fennelly is 1649262429 and holds a License No. 7319 (California).

The current practice location address for Kathleen Marie Fennelly is 896 E Foothill Blvd, San Luis Obispo, CA and can be reached out via phone at 805-542-0900.

Location: 896 E Foothill Blvd, San Luis Obispo, CA, 93405-1761
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Provider Profile Details
NPI Number
1649262429
Provider Name
Kathleen Marie Fennelly
Credential
RN,NP,
Provider Entity Type
Individual
Gender
Female
Address
896 E Foothill Blvd, San Luis Obispo, CA, 93405-1761
Phone Number
805-542-0900
Fax Number
Provider Enumeration Date
08/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
456414 01 CA RN LICENSE #
7319 01 CA NP LICENSE #
institution
Provider Business Practice Location Address Details
Address
896 E Foothill Blvd
City
State
Zip
93405-1761
Phone Number
805-542-0900
Fax Number
person
Provider Business Mailing Address Details
Address
896 E Foothill Blvd
City
State
Zip
93405-1761
Phone Number
805-542-0900
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
License No.
7319 (California)
Definition
Definition to come...
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